superior vena cava syndrome

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Case Report

Endoprosthesis implantation at the entry pathway of the right atrium monitored by intracardiac ultrasound

Rogério Tadeu Tumelero et al. Norberto Toazza Duda Alexandre Pereira Tognon Saulo Martins Coccio Filho

Obstructions of the upper venous system may be due to spontaneous thrombosis or the presence of hemodialysis or chemotherapy catheters, or even the presence of extrinsic compression due to intra-thoracic tumors. The use of endoprosthesis for the treatment of these obstructions has become common practice, and its indications include situations of risk for pulmonary embolism, superior vena cava syndrome, and loss of vascular access. Within this context, the use of intracardiac ultrasound may be useful in evaluating the extension and severity of the obstructive lesion, besides providing important information about the mural and intraluminal morphology of the venous system. The authors report the case of a patient with superior vena cava syndrome caused by thrombosis at the entry pathway of the right atrium, besides discussing the subject by means of literature review.

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Case Report

Bi-atrial subxiphoid epicardial pacemaker in superior vena cava syndrome

Roberto Costa et al. Maria Inês de Paula Leão Kátia Regina da Silva Paulo Roberto Camargo Regina Valéria Costa

A patient with a bi-atrial-ventricular permanent pacemaker due to paroxystic atrial fibrillation associated to sinus bradycardia, in chronic use of oral anticoagulant, presented clinical signs of superior vena cava syndrome. Digital subtraction venography showed total obstruction of the right brachiocephalic venous trunk and severe stenosis of the connection of the left trunk to the superior vena cava. The therapeutic approach consisted of complete removal of transvenous system followed by re-implant of the bi-atrial-ventricular system using an epicardial subxiphoid access with fluoroscopic assistance

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Endoprosthesis implantation at the entry pathway of the right atrium monitored by intracardiac ultrasound

Bi-atrial subxiphoid epicardial pacemaker in superior vena cava syndrome

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Electronic Document Format (Vancouver)

Electronic Document Format (ABNT)

Electronic Document Format (APA)

Electronic Document Format (ISO)